| NPI | 1780021683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON LEE STUPKA Chiropractor 620-504-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05494) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-09-10 |